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725
BUILDING PERMIT TOWN OF +QU EENSBURY No. 725 WARREN COUNTY, NEW YORK kV ( D �c ISisSION is her by ranted to John Miller c 3 e O OWNER of property located at E Y- w Luzern Road Street, Road or Ave. � in the Town of Queensbury, To Construct or place a New roof can Trai 1 e r at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Q.ueenshury Building and Zoning Ordinance. F2CONTRACTOR NE R'S Address is RD �' 3 LuZerne Rd . Glens Fallss Neye 12801 or BUI LDERZ Name Same 3. CONTRACTOR or BUILDER'S Address Same 4. ARCHITECT'S Name 6. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by X) (X) Wood Frame i ? Masonry I I Steel ( 1 7. PLANS and Specifications 1210 " x 55 ' 0 " As per plot plan . No. S. Proposed Use Dwelling G r QD July 30 19 f 0 PERMIT FEE PAID — THIS PERMIT EXPIRES (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury t 13 his Day of April 19 70 s SIGNED BY for the Town of Queensbury Building zoning Inspector TQWN OF QUEENSBURY (Space inside block to be ! iltud in WARREN COUNTY. NEW YORK Bitild'sng Inspectot- I Application Not . . . . Application for Pcrit Issued . . . BUILDING AND ZONING PERMIT IYcrtniI {•:xpiros . 19 \ lrprn cd bl� THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale !t, itt irl showing the actual dimensions of the lot to be built upon. Ttte exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. Ffi �'P. OF QLIEEN�BUf2'� C7ATEA PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ,5 _ 1970 ANSWER ALL OF THE FOLLOWING. AM* P-M. The undersigned hereby applies for a permit to do the following work 7iSIsi1(l�lli121112i34 �k16 �d R 4 Y a , • • Y which will be clone in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. The owner, f this pro r tr (NA-AE)= ACtORE55} Th rson responsibie. for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: JNAMEf " . . . . . . . . . . . . {P.O. AObRESS) ' . . . . . . . . . Name of Builder . . . . . . . . . . . . . . . . . . Address . . . . . . . Name of Plumber . , . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . - . . . . . , . . . . . . . . . . . . . . . - - . . . . . . . . . . . . Lot Number . . . . . . . . . . . . Unit . . . . . , 4 . . . . . Estimated value of proposed work $ / - . . . . . . . . . . . - - . . . . Name of Village I . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . . . . . . . . . . . . . . . . . . Side of street: northl , east ❑ , south ❑ . west ❑ Distance from this cross street . . . . . - . . . . • . . . - . • . . t t Nearest Cross Street . . . . . . . Property is north ❑ . south ❑ , east i , west ❑ from Cross Street If on Corner, which corner, northeast ❑ , northwest El , southeast El . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main BuildingConstruction of a new building. C� O Addition to a building. One-family dwelling Two-family dwelling � d Alteration to a building. , , , . . . , . -family apartment house 0 © Demolition of a building. Store building El . . . . . . . . -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage Other work. Describe�,, Two-car detached garage ? / Private chicken house • � � � � Private storage building Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICA'T'IONS. Fill in for new building, or addition to existing building, or a change of occupancy. Indicate on the plot plan street names, the location and 1 size of the property, the location, size and setbacks of pro- posed buildings, and the location of all existing buildings. HORTH Show proposed building(s) in dotted line and existing d;/ f lhuilding(s) in solid line. _ Size of property . . . , x`"' ' _. . . . - . . ft. x ft_ Size and use of existing buildings, if any . . ! . . . . . . . . . . . . . . . . . . . , . . . we "' Size of proposed �ing . . ./ �` . . . . £t. x . . ft. Height (from grade to ridge) ft. Front yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards ft. and . . . . . . . . . . . . . . . ft. . . . . . . . . . . . . . . Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. soUTH If on corner, setback from side street . . . . . . . ft. . . Nose: All distances are net, as measured from street side } line to nearest ,dart of building. (OVER) BUILDING SPECIFICATIpNS„ (cont'd.) Kind of construction: Wood frame, fire safe, etc.? . . . . . -Ap .�:►aC.., — , . . . . Will any second-hand lumber be used? . . . . . . . . . . . . . . . If so, for what? . . . Material of foundation walls . . . . . . . . . . . . . . . . . . I . . , , . . . . . . . . . . . . "'Thickness d . . . . . . , . . . . . Depth of foundation walls below grade . . . . . . . . . . . . . , , , . . . . • . , . , - . . , . Continuous foundation? . . . . . . . . . . Will there be a cellar? . , . . . . . . . . . . . . . If so, material of cellar floor . . . . . . . . . . . , , . . _ . Type of roof: Sl_ oped or flat? . , . . . . . • . . . . . Material of roof . . Size, wood studs . . . . . . _ . . . . . . . . it . , . . . . . '", s acin "o-c., length . . . . . . . . . . . . . ft. Size, floor beams, 1st floor . . . . . . . , „ . . . . . . . . '"o.c., span . . . . . . . . . . . . . . ft. . . . . x . . . . . . . . . . . . . . . . s spacing Size, floor beams, 2nd floor - . . . - . . . - . . "' x . . . . . . . . P ,g , . . . . . . . . . . . . ", spacing . . . . . . . . . . . . . . "o-c., span ft. Size, ceiling beams . . . . , . " x . . . . . . . . . . . . . . . . spacing " . . , m. . . . . '" p g . . . . . . . o.c., span . . . . . ft. . . . . . . . . _ ft- Si3e, roof rafters or beams •-�''1. ,.�Z,€. . . . ", spacing . . . . . . . . . . . . . . ^n.c., span . . . - . . . Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . With what material? . . . . . . Finish of interior walls . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main buitlding to be constructed? . . . . . . . . . . . . . . s there to be an opening between garage and building? . , . . . . . . . . , . . , . . . . . . . . . . . . Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Glyn burner or coal? . Will a flue-lined chimney he provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade . . . . . . . . . Height of chimney above roof . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . _ . . . Will a toilet be installed? . : . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . . . Water supply (public water supply or pump) . . . . . . . . Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? . � . . . . Town of Queensbury AFFIDAVIT County of Warren ss. State of New York I swear that to the beat of my ktwrkledge and belief the statements contained in this application, r with the fans and misted are a true and corn late statement of all m together specifications sub- p eased wank ri be done an the described pQre�mises and that provisions of the BUILD- ING ODE, THE 7UNIN ORDINANCE, and all other laws peeiaitting m the posed work r `h be oomtslied with, whether a and that such work is authorised by the owner. specified or not, Sworn to before me this Signature . ... . . . .- .day D ..f!+`y6 __ I ..... t7WN8R. OWNER S AGENT. ARCHITECT. CONTRACTOR .. . . . ...... ......-.. . . N0 jjeY s4. W tZ COUNTY. N. Y. . . . .- SPECIAL CONDITIONS OF THE PERMIT: AVG ' sra�v�.�CtC�R l T�1A1 -LC4i11i` r ,gpQRY �` TOWN Q� C2v w�iw By .... . .... ... . . . .. �U 1 �1 � a c c i Ta P P t?, �- DATED APR c97Q - NN TOWN OF Q ,: -)40* Y n